Student Mental Health Check-in Survey Template

With Covid-19 and the different way we're learning to live, we realize it might cause some anxiety. This can affect your learning behavior and we want to make sure you feel like you can talk about that. It would be great if you could take a few minutes to fill out this survey completely anonymously.I am finding it easy to understand and follow the topics we have been learning at school I can get help from my teachers if I have questions about my work or get stuckI can get help from my family if I have questions about my work or get stuckI developed a routine that helps me learnI'm worried that I am behind other pupils with my school work I am going outside for a walk for half an hour or more every dayI am exercising for half an hour or more at least three times a weekFor example, a walk, a run or a bike rideI feel like I have someone to talk to Recently I have had trouble falling or staying asleepI have been worried that I will catch Covid-19 I have been worried that family and friends will catch Covid-19I have been thinking about how Covid-19 has affected my educationIs there anything specifically about learning in the last two weeks that you would have liked more help with?Is there anything else you want us to know?Thanks for taking the time and answering this survey.

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Check in on your students' mental health and wellbeing with this template

The focus on mental health is stronger than ever now with all of us feeling the effects of Covid-19. Use this template to find out how your students are doing, and how their learning is being impacted in these troubling times.